Individual
MICHELLE RAE CARLSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1010 10TH ST, HOOD RIVER, OR 97031-1565
(541) 386-9540
(541) 386-9540
Mailing address
2149 CASCADE AVE STE 106A, HOOD RIVER, OR 97031-1087
(541) 386-9500
(541) 386-9540
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD20293
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085498
—
OR
Enumeration date
01/04/2007
Last updated
02/15/2017
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